ANTICAVITY RINSE- sodium fluoride mouthwash 
Wal Mart

Disclaimer: Most OTC drugs are not reviewed and approved by FDA, however they may be marketed if they comply with applicable regulations and policies. FDA has not evaluated whether this product complies.

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Anticavity Fluoride Rinse, Bubble Gum
Equate 004.002/004AE

Sealed with printed neckband for your protection

Active ingredient

Sodium Fluoride 0.05% (0.2% w/v fluoride ion)

Purpose

Anticavity Rinse

Use

aids in the prevention of dental cavities

warnings

for this product

Keep out of reach of children.

If more than used for rinsing is accidentally swallowed, seek professional assistance or contact a Poison Control Center immediately.

Directions

Other information

store at room temperature

Inactive ingredients

benzyl alcohol, calcium disodium EDTA, cetylpyridinium chloride, disodium EDTA, disodium phosphate, flavor, poloxomer 407, polysorbate 80, propylene glycol, red 33, sodium benzoate, sodium phosphate, sodium saccharin, sorbitol, water

ADVERSE REACTIONS SECTION

Distributed by: Wa-Mart Stores, Inc.,

Bentonville, AR 72716 

Wal-Mart Stores, Inc.

*This product is not manufactured or distributed by Chattem, Inc., distributer of Act Bubblegum Blowout Anticavity Fluoride Rinse.

Satisfaction guaranteed - for questions or comments please call 1-888-287-1915

principal display panel

NDC: 49035-004-44

equate

Compare to ACT Active Ingredient*

Kids Anticavity Fluoride Rinse

Bubble Gum Flavor

ADA Accepted

American Dental Assoication

IMPORTANT: Read directions for proper use

18 FL OZ (532 mL)

Made in the USA with 90% or more US parts 

Factory Certified

image description

ANTICAVITY RINSE 
sodium fluoride mouthwash
Product Information
Product TypeHUMAN OTC DRUGItem Code (Source)NDC:49035-004
Route of AdministrationORAL
Active Ingredient/Active Moiety
Ingredient NameBasis of StrengthStrength
SODIUM FLUORIDE (UNII: 8ZYQ1474W7) (FLUORIDE ION - UNII:Q80VPU408O) FLUORIDE ION0.2 mg  in 1 mL
Inactive Ingredients
Ingredient NameStrength
BENZYL ALCOHOL (UNII: LKG8494WBH)  
EDETATE CALCIUM DISODIUM ANHYDROUS (UNII: 8U5D034955)  
CETYLPYRIDINIUM CHLORIDE (UNII: D9OM4SK49P)  
EDETATE DISODIUM (UNII: 7FLD91C86K)  
SODIUM PHOSPHATE, DIBASIC, ANHYDROUS (UNII: 22ADO53M6F)  
POLOXAMER 407 (UNII: TUF2IVW3M2)  
POLYSORBATE 80 (UNII: 6OZP39ZG8H)  
PROPYLENE GLYCOL (UNII: 6DC9Q167V3)  
D&C RED NO. 33 (UNII: 9DBA0SBB0L)  
SODIUM BENZOATE (UNII: OJ245FE5EU)  
SODIUM PHOSPHATE (UNII: SE337SVY37)  
SACCHARIN SODIUM (UNII: SB8ZUX40TY)  
SORBITOL (UNII: 506T60A25R)  
WATER (UNII: 059QF0KO0R)  
Packaging
#Item CodePackage DescriptionMarketing Start DateMarketing End Date
1NDC:49035-004-44532 mL in 1 BOTTLE, PLASTIC; Type 0: Not a Combination Product04/06/2004
Marketing Information
Marketing CategoryApplication Number or Monograph CitationMarketing Start DateMarketing End Date
OTC monograph finalpart35504/06/2004
Labeler - Wal Mart (051957769)
Registrant - Vi-Jon, LLC (790752542)
Establishment
NameAddressID/FEIBusiness Operations
Vi-Jon, LLC790752542manufacture(49035-004)
Establishment
NameAddressID/FEIBusiness Operations
Vi-Jon, LLC088520668manufacture(49035-004)

Revised: 1/2023
Document Id: 2466823b-3ffb-44b5-ab1c-7f23a400fcf0
Set id: 3beb65e4-ae8e-4e51-b9ba-181cbec41eff
Version: 19
Effective Time: 20230116
 
Wal Mart